Init pm e/m new pat 65+ yrs at Atrium Health Cleveland
201 E Grover St, Shelby, NC · Atrium Health · · NPI 1669348991
$196.88
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$393.75
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$43.28 with Partners vs $293.69 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Partners | Managed Medicaid | $43.28 | ↓ -78% |
| Amerihealth Caritas | Managed Medicaid | $43.62 | ↓ -78% |
| Carolina Complete Health | Managed Medicaid | $44.46 | ↓ -77% |
| Wellcare | Managed Medicaid | $44.46 | ↓ -77% |
| Healthy Blue | Managed Medicaid | $44.46 | ↓ -77% |
| Vaya | Managed Medicaid | $44.89 | ↓ -77% |
| Trillium | Managed Medicaid | $45.79 | ↓ -77% |
| Alliance | Managed Medicaid | $45.88 | ↓ -77% |
| Alliance | Behavioral Health | $51.75 | ↓ -74% |
| United Healthcare | Managed Medicaid | $64.71 | ↓ -67% |
| Aetna | Connected North Carolina Individual HMO | $81.92 | ↓ -58% |
| Blue Cross Blue Shield of North Carolina | Local Individual Commercial | $96.08 | ↓ -51% |
| Blue Cross Blue Shield of North Carolina | Local Group Commercial | $96.24 | ↓ -51% |
| Ambetter | CoBranded Commercial | $98.74 | ↓ -50% |
| Ambetter | Individual Commercial | $112.22 | ↓ -43% |
| Aetna | Whole Health HMO | $113.77 | ↓ -42% |
| United Healthcare | IEX Commercial | $124.28 | ↓ -37% |
| Blue Cross Blue Shield of North Carolina | HMO-PPO Managed Care | $126.63 | ↓ -36% |
| Cigna | Commercial NB | $133.86 | ↓ -32% |
| Employers Health Network | Commercial | $136.64 | ↓ -31% |
| United Healthcare | Medicare Advantage | $137.81 | ↓ -30% |
| Aetna | North Carolina Preferred Plus Commercial | $143.75 | ↓ -27% |
| Humana | Medicare Advantage | $153.82 | ↓ -22% |
| Physician Reach Out | Plan P | $154.58 | ↓ -21% |
| Aetna | Medicare Advantage | $156.08 | ↓ -21% |
| Cigna Healthspring | Medicare Advantage | $158.34 | ↓ -20% |
| Cigna | HMO-PPO Managed Care | $160.14 | ↓ -19% |
| Aetna | Broad Network | $161.99 | ↓ -18% |
| United Healthcare | HMO-PPO Managed Care | $165.09 | ↓ -16% |
| MedCost | Ultra | $172.51 | ↓ -12% |
| Magellan | Behavioral Health | $185.49 | ↓ -6% |
| MedCost | PPO | $196.88 | ↑ +0% |
| GMMI | Commercial | $200.95 | ↑ +2% |
| Quik Trip | Commercial | $200.95 | ↑ +2% |
| Cigna | Commercial SAR | $208.68 | ↑ +6% |
| Carolina Behavioral Health | Employee Plan | $222.59 | ↑ +13% |
| Aetna First Health | Commercial | $238.05 | ↑ +21% |
| Carolina Behavioral Health | Commercial | $247.32 | ↑ +26% |
| Cigna | Behavioral Health | $247.32 | ↑ +26% |
| Healthgram | Commercial | $247.32 | ↑ +26% |
| ChoiceCare | Commercial | $253.50 | ↑ +29% |
| Lifesynch Community Choice Care | Behavioral Health | $262.78 | ↑ +33% |
| First Health | Commercial | $262.78 | ↑ +33% |
| Private Health Care Systems | Commercial | $278.24 | ↑ +41% |
| Beechstreet | Commercial | $284.42 | ↑ +44% |
| Multiplan | Commercial | $293.69 | ↑ +49% |
| Broughton Cardinal Partners | Commercial | not published by hospital | — |
| Physician Reach Out | Plan H | not published by hospital | — |
Visitor-reported prices
Comments
Init pm e/m new pat 65+ yrs at other North-carolina hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Atrium Health Anson | Wadesboro | $196.88 | $46.25 – $293.69 |
| Atrium Health Behavioral Health Charlotte | Charlotte | $196.88 | $58.74 – $272.05 |
| Atrium Health Cabarrus | Concord | $196.88 | $37.93 – $293.69 |
| Atrium Health Lincoln | Lincolnton | $196.88 | $34.87 – $293.69 |
| Atrium Health Mercy | Charlotte | $196.88 | $67.43 – $284.42 |
| Atrium Health Pineville | Charlotte | $196.88 | $30.92 – $284.42 |
| Atrium Health Stanly | Albermarle | $196.88 | $37.10 – $296.78 |
| Atrium Health Union | Monroe | $196.88 | $40.19 – $293.69 |